Efficacy of extracorporeal shock wave therapy combined with corticosteroid injection in the treatment of plantar fasciitis
Aim To explore the efficacy of extracorporeal shock wave therapy(ESWT)combined with corticosteroid injection(CSI)in the treatment of plantar fasciitis(PF).Methods 86 patients with PF were randomly and equally divided into control group(CSI treatment)and observation group(ESWT combined with CSI treatment).The clinical efficacy,simplified McGil pain questionnaire(SF-MBQ)score,American orthopaedic foot and ankle society ankle-hindfoot function scale(AOFAS-AHS)score,plantar pressure difference and serum C-reactive protein(CRP),interleukin-1β(IL-1β)were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group(95.35%vs 79.07%,P<0.05).Compared with the control group,the SF-MBQ score,pressure difference of both feet at 1 and 3 months after treatment were decreased,while the AOFAS-AHS score was increased,and the serum CRP,serum IL-1β at 1 month after treatment were decreased(P<0.05).Conclusion ESWT combined with CSI is effective in the treatment of PF,which can effectively reduce the degree of pain,improve ankle foot function,reduce plantar pressure difference and inhibit inflammatory reaction.